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J-1 On-Campus Employment Eligibility and Authorization Form


INTERNATIONAL STUDENT SERVICES UNIVERSITY OF HAWAI‘I AT MĀNOA 2600 Campus Road, QLCSS 206, Honolulu, HI 96822 • Phone: (808) 956‐8613 • Fax: (808) 956‐5076
Website: www.hawaii.edu/issmanoa
J-CE


J-1 On-Campus Employment Eligibility and Authorization Form

When properly completed, this form provides (1) the period in which a J-1 student is eligible for employment; and (2) authorizations for specific employment. Eligibility does not constitute authorization.


SECTION I. Student Acknowledgment. To be completed by J-1 student.

Student Surname/Family Name

Student Given Name(s)

UHID#

DS-2019 Expiration Date (mm/dd/yyyy)

Passport Expiration Date (mm/dd/yyyy)




To the Student: Please fill in your information above, read the on-campus employment stipulations below and sign in the space provided, then submit to this form to an ISS advisor.

If the RO/ARO chooses to limit the number of hours per week the student may work, (s)he should inform the student. Otherwise, the student will be advised by the RO that work will not exceed 20 hours per week during the academic period pursuant to the UH APM A9.880.
The Mānoa Career Center (MCC) will consider any valid Student Employment Work Agreement (SEWA) upon receipt of this form. Approval will be given in accordance to current, standard MCC procedure.
This verification does not include eligibility requirements enforced by MCC. Students deemed ineligible by MCC will be precluded from accessing the Student Employment and Cooperative Education (SECE) on-line job system and/or establishment of student employment payroll records.
If the student is not currently engaged in full-time course work, this form must be accompanied by written verification issued by the RO/ARO attesting that student is authorized for a reduced course load (RCL).
On-campus employment may include jobs at other UH campuses on Oahu, due to system-wide agreements.
Any on-campus employment successfully obtained by the student through MCC during the eligibility period must be authorized by an RO/ARO before employment may begin. Each job must be recorded on the back side of this form by the student and submitted to an ISS advisor for authorization.
The RO/ARO may use the DS-2019 end date, passport expiration date, or completion of program, whichever is earlier, to determine eligibility and authorization dates.
Any changes to employment dates must be reported immediately to the ISS advisor.


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